| NPI | 1033188321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 112386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-44576) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-44576) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2022-12-06 |